1,553 results match your criteria: "Zenker Diverticulum"

Stag Beetle Knife (SB Knife) is increasingly being utilized for Zenker's Diverticulectomy (ZD). Our study assessed the effectiveness and safety of the SB Knife for the management of ZD. Ovid EBM reviews, Ovid Embase, Ovid Medline, ClinicalTrials.

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Article Synopsis
  • Killian-Jamieson diverticulum (KJD) is a less common type of pharyngoesophageal diverticulum, and this study examines the effectiveness and safety of a specific treatment called peroral endoscopic septotomy (POES) for symptomatic cases.
  • In a retrospective study of nine patients treated with POES between January 2019 and May 2023, the results showed a 100% technical success rate with no adverse events, and an 88.9% clinical success rate where patients experienced symptom improvement.
  • Follow-up evaluations indicated significant improvement in the patients' condition, confirming that POES is both a safe and effective treatment option for those suffering from symptomatic KJD.
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Our review delves into the realm of peroral endoscopic myotomies (POEMs) in the upper gastrointestinal tract (UGT). In recent years, POEMs have brought about a revolution in the treatment of UGT motility disorders. Esophageal POEM, the first to be introduced, has now been validated as the primary treatment for achalasia.

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Diverticular peroral endoscopic myotomy (D-POEM) for symptomatic oesophageal diverticulum: a multicentre cohort study with a minimum follow-up of 3 years.

Surg Endosc

January 2024

Department of Gastroenterology, Zhongda Hospital, School of Medicine, Southeast University, 87 Dingjiaqiao Road, Nanjing, 210009, Jiangsu Province, People's Republic of China.

Objective: To evaluate the medium- and long-term outcomes of diverticular peroral endoscopic myotomy (D-POEM) for symptomatic oesophageal diverticulum.

Methods: Consecutive patients with symptomatic oesophageal diverticulum who underwent D-POEM from 1st May 2016 to 1st April 2020 in 6 centres were extracted and researched. Symptoms assessed by the modified Eckardt score were registered pre- and post-D-POEM at 1, 6, 12, 24 and 36 months.

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Article Synopsis
  • Zenker's diverticulum (ZD) is a condition in older adults that causes difficulty swallowing (dysphagia) and can be treated with a procedure called Per-oral endoscopic myotomy (Z-POEM) combined with intraoperative impedance planimetry (FLIP) for measuring esophageal functionality.
  • A study from 2014 to 2022 reviewed 54 patients who underwent Z-POEM, showing a technical success rate of 100%, with 85% achieving clinical success, although some experienced complications like leaks and readmissions.
  • The results indicated significant improvements in esophageal distensibility and symptoms associated with GERD, although bigger diverticula (>4 cm) might lead to poorer treatment outcomes,
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Diagnosis and Open Surgical Management of Laimer's Diverticulum: Case Series and Review of the Literature.

Ear Nose Throat J

September 2023

Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Laimer's diverticulum (LD) is a very rare clinical entity originating between the cricopharyngeus muscle (CPM) and circular muscular fibers of the esophagus. Its diagnosis and management remain to be elucidated. This article summarizes our experience in its diagnosis and open surgical management.

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Background: Zenker's diverticulum is a false diverticulum arising in the oesophago-pharyngeal junction. It may cause symptoms like dysphagia and regurgitation. In Central Norway, treatment is centralized to St.

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Capsule endoscopy is the first-line investigation for small bowel disorders. Capsule retention in the small bowel is the most common adverse event. Retention has also been reported in the upper esophagus; however, guidance for diagnosis and management is lacking.

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Zenker's diverticulum treatment options range from endoscopic rigid or flexible procedures to surgery. There are limited studies available comparing these techniques. Frequently, the choice of treatment depends on the physician's preference or experience, as well as the institution's resources and capacity.

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We present a rare case of bilateral pharyngocoeles in a patient with symptomatic neck swelling prominently seen with the Valsalva manoeuvre. Pharyngocoeles have only been reported a handful of times in the literature. Due to their rarity, they can easily be misdiagnosed as a laryngocoele, Zenker's diverticulum, or jugular venous phlebectasia.

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Pharyngoesophageal diverticula are a rare anatomical abnormality and are classified in 3 types based on the area of their protrusion: Zenker diverticulum is the most common, followed by Killian-Jamieson diverticulum and the rarest, Laimer diverticulum. We report a case of a 68-year-old man who presented to our clinic with a 3-year history of moderate anemia uncovered after routine blood tests, progressive dysphagia for solids and food bolus impactions resolved spontaneously. Upper endoscopy revealed a wide-mouthed diverticulum, measuring 2-3 cm, with normal mucosa and food residue inside, just below the upper esophageal sphincter, on the left side of the esophageal wall and also hiatal hernia with diffuse mucosal bleeding.

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Diverticular peroral endoscopic myotomy: management of a complex epiphrenic diverticulum.

Endoscopy

December 2023

Integrated Clinical and Research Center for Intestinal Disorders (ICRID), Gastroenterology Division, Endemic Medicine Department, Cairo University, Cairo, Egypt.

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Long-term outcomes of Zenker's peroral endoscopic myotomy (Z-POEM) for treatment of Zenker's diverticulum.

Endosc Int Open

June 2023

Johns Hopkins Medicine, Gastroenterology and Hepatology, Baltimore, Maryland, United States.

Article Synopsis
  • Z-POEM has emerged as an effective therapy for Zenker's diverticulum (ZD), showing excellent short-term results and now demonstrating long-term efficacy over a minimum of two years.
  • This study analyzed data from 89 patients across multiple international institutions, focusing on clinical success defined by significant symptom improvement without additional procedures in the first six months.
  • Results indicated a high technical success rate (97.8%), significant improvement in dysphagia and other symptoms, with only a 6.7% recurrence rate at around 37 months of follow-up, highlighting Z-POEM's safety and durability as a treatment option.
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Zenker per-oral endoscopic myotomy (ZPOEM) has become a promising technique for Zenker's diverticulum (ZD). The aim of this study was to add to the limited body of literature evaluating the safety and efficacy of ZPOEM. A prospectively maintained database was retrospectively reviewed to identify patients who underwent ZPOEM at two separate institutions between January 2020 and January 2022.

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Background And Study Aim: Zenker's diverticulum is a rare disease that affects quality of life due to dysphagia and regurgitation. This condition can be treated by various surgical or endoscopic methods.

Patients And Method: Patients treated for Zenker's diverticulum in three centers in the south of France between 2014 and 2019 were included.

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